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VAERS ID: 2275414

AGE: UNK| SEX: F|State: NJ

Description

tiredness; headache; congestion; This is a spontaneous report received from a contactable reporter(s) (Nurse). The reporter is the patient. A 90-year-old female patient received BNT162b2 (BNT162B2), on 02May2022 as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Bnt162b2 (Dose: 1, Manufacturer Unknown), for Covid-19 immunization; Bnt162b2 (Dose: 2, Manufacturer Unknown), for Covid-19 immunization; Bnt162b2 (Dose 3 (1st Booster dose), Manufacturer Unknown), for COVID-19 Immunization. The following information was reported: NASAL CONGESTION (non-serious) with onset 03May2022, outcome "not recovered", described as "congestion"; HEADACHE (non-serious) with onset 03May2022, outcome "not recovered"; FATIGUE (non-serious) with onset 03May2022, outcome "recovered" (May2022), described as "tiredness". Relevant laboratory tests and procedures are available in the appropriate section. Additional information: Description of event: This 90 year old female nurse reported that she received her second booster dose of the Pfizer Covid 19 vaccine on 02May2022. On 03May2022 the patient developed tiredness, headache and congestion. On 08May2022, the patient tested positive for Covid 19. Her tiredness has resolved, the headache and congestion are ongoing. Event took place after use of product. The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.

Symptoms

Fatigue, Headache, Nasal congestion, SARS-CoV-2 test

Vaccines

VAX DATE: 01 May 2022 | ONSET DATE: 02 May 2022 | DAYS TO ONSET: 1
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 4

RECVDATE:12 May 2022
CAGE_YR:
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:N
LAB_DATA:Test Date: 20220508; Test Name: Covid 19 test; Result Unstructured Data: Test Result:positive
V_ADMINBY:UNK
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202200690120
FORM_VERS:2
TODAYS_DATE:11 May 2022
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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